Complicated Extraction and Odontectomy

COMPLICATED EXTRACTION & ODONTECTOMY Presenter: R1 鄭瑋之 Instructor: VS 陳靜容醫師 Date: 2012/2/17

Indications for Surgical Extraction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Indications for Surgical Extraction

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Indications for Surgical Extraction

Contraindications for Surgical Extraction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Multiple Extraction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Multiple Extraction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Classification of Impacted Teeth

Mesioangular impaction 43% Least difficult Horizontal impaction 3% More difficult than mesioangular ones Vertical impaction 38% Third in difficulty Distoangular impaction 6% Most difficult

Envelope incision Posterior  laterally to avoid lingual n. Three-cornered flap Release incision: M of the 2 nd molar. 1. Gain adequate access through a properly designed soft tissue flap

[object Object],[object Object],2. Remove bone as little as possible

[object Object],[object Object],[object Object],[object Object],3. Divide tooth into sections and delivered with elevators

[object Object],[object Object],[object Object],[object Object],[object Object],3. Divide tooth into sections and delivered with elevators

[object Object],[object Object],[object Object],3. Divide tooth into sections and delivered with elevators

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],4. Debridement, irrigation and closure of wound

Postoperative Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Post-OP Complications

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Post-OP Complications

Complicated Extraction and Odontectomy

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